Abrupt cessation of atrial fibrillation in a neurosurgical patient: Does positioning matter?

Steve Joys; Shalvi Mahajan; Rajeev Chauhan; Sanjay Kumar

doi:10.4103/ajns.AJNS_192_20

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 1031-1033
DOI: 10.4103/ajns.AJNS_192_20

Case Report

Abrupt cessation of atrial fibrillation in a neurosurgical patient: Does positioning matter?

Autor*innen

Steve Joys

Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
Shalvi Mahajan

Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
Rajeev Chauhan

Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
Sanjay Kumar

Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh

Abstract

Atrial fibrillation (AF) has been associated with cancer. However, the literature regarding the occurrence of AF in patients with brain tumors is limited. Neuroanatomic connections between the brain and the heart may affect heart rate and rhythm. We discuss a case of transient AF in a 64-year-old female who was operated for a right-sided sphenoid wing meningioma. The AF might have been related to the positioning of the head and neck of the patient, in whom the intracranial compliance was reduced due to the brain tumor.

Key-words:

Atrial fibrillation - neurosurgery - positioning

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Referenzen

References
1 Schnabel RB, Yin X, Gona P, Larson MG, Beiser AS, McManus DD, et al. 50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham heart study: A cohort study. Lancet 2015;386:154-62.
2 O'Neal WT, Lakoski SG, Qureshi W, Judd SE, Howard G, Howard VJ, et al. Relation between cancer and atrial fibrillation (from the reasons for geographic and racial differences in stroke study). Am J Cardiol 2015;115:1090-4.
3 Pawar NH, Vasanwala FF, Chua M. Brain tumor causing atrial fibrillation in an otherwise healthy patient. Cureus 2017;9:e1601.
4 Davis AM, Natelson BH. Brain-heart interactions. The neurocardiology of arrhythmia and sudden cardiac death. Tex Heart Inst J 1993;20:158-69.
5 Mavrocordatos P, Bissonnette B, Ravussin P. Effects of neck position and head elevation on intracranial pressure in anaesthetized neurosurgical patients: Preliminary results. J Neurosurg Anesthesiol 2000;12:10-4.
6 Park SH, Park HP, Jeon YT, Hwang JW, Kim JH, Bahk JH. A comparison of direct laryngoscopic views depending on pillow height. J Anesth 2010;24:526-30.
7 El-Orbany M, Woehlck H, Salem MR. Head and neck position for direct laryngoscopy. Anesth Analg 2011;113:103-9.
8 Horton WA, Fahy L, Charters P. Defining a standard intubating position using “angle finder”. Br J Anaesth 1989;62:6-12.
9 Liu Q, Kong AL, Chen R, Qian C, Liu SW, Sun BG, et al. Propofol and arrhythmias: Two sides of the coin. Acta Pharmacol Sin 2011;32:817-23.
10 Miró O, de la Red G, Fontanals J. Cessation of paroxysmal atrial fibrillation during acute intravenous propofol administration. Anesthesiology 2000;92:910.
11 Skrabalova J, Neckar J, Hejnova L, Bartonova I, Kolar F, Novotny J. Antiarrhythmic effect of prolonged morphine exposure is accompanied by altered myocardial adenylyl cyclase signaling in rats. Pharmacol Rep 2012;64:351-9.